# KEVIN L GOLDEN DMD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902593205
- **Authorized official:** KEVIN L GOLDEN DMD (OWNER DENTIST)
- **Authorized official phone:** (770) 689-8150

## Contact information

- **Practice address:** 5965 THUNDER RD, STE C, CONCORD, NC 28027
- **Practice address phone:** (704) 610-8444
- **Mailing address:** 5965 THUNDER RD, STE C, CONCORD, NC 28027
- **Mailing address phone:** (704) 610-8444

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | — |
| 122300000X | Dentist | — | — | — |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 04/18/2023
- **Last updated:** 04/18/2023